DEATH SPIRAL – OK Obamacare Exchange Down to One Insurer

Comment:  Here’s that vibrant, competitive Obamacare market you were promised–it’s not working!

“TULSA, Okla. (KTUL) — The State of Oklahoma could face a healthcare crisis in 2017.”

“There will only be one insurance company offering policies on the Healthcare Exchange and premiums are expected to go up by at least 50%.

“There are concerns that many who already have policies under the Affordable Care Act, will drop their coverage because of the costs.”

The Affordable Care Act is getting expensive in Oklahoma
By Charles Ely

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The Immorality of Obamacare’s Medicaid Expansion, Explained

Comment:  Always eager to elevate our readers, OCTS wants to take a moment to clear up some clouded moral reasoning that GruberThink(tm) has slipped into Obamacare’s lexicon. We choose an example from Oklahoma to illustrate:

Jim McCarthy, CEO of the Community Health Connection

“[S]aid they hope the state legislature will rebalance Medicaid because right now some of the poorest Oklahomans are missing out. [...] McCarthy said it’s time to do the right thing morally and financially.”

Translating, Mr. McCarthy wants Oklahoma to ask Obamacare’s Medicaid expansion to loot other states to fund his clinic.  McCarthy believes this would be “do[ing] the right thing.”  But once upon a time we called taking strangers’ money without their permission “stealing.” Unfortunately for Mr. McCarthy, this is not moral, it is immoral.  And, prior to Obamacare, it was illegal.

Obamacare’s GruberThink(tm) has confused Mr. McCarthy’s moral compass, but yours doesn’t have to be–OCTS is happy to clear things up.

Pro-tip for Mr. McCarthy: The morally upright course is–if you think something is worth the money–to raise the issue and the money in your own community (or state), and fund whatever charity care you want. That’s more efficient than sending it through Washington, completely moral, and far more financially responsible too.  Best of all, there’s no need to steal your clinic’s funding from other states!

“TULSA, Okla. (KTUL) — The State of Oklahoma could face a healthcare crisis in 2017.”

“There will only be one insurance company offering policies on the Healthcare Exchange and premiums are expected to go up by at least 50%.”

The Affordable Care Act is getting expensive in Oklahoma
By Charles Ely

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Obamacare’s Medicaid Population Already Costs 49% More Than Expected (and Rising)

“A government report finds that the cost of expanding Medicaid to millions more low-income people is increasing faster than expected, raising questions about a vital part of President Barack Obama’s health care law.”

[...] “But the new cost estimates could complicate things.”

“In a recent report to Congress, the Centers for Medicare and Medicaid Services said the cost of expansion was $6,366 per person for 2015, about 49 percent higher than previously estimated.”

Medicaid estimate renews cost concerns over ‘Obamacare’
August 12, 2016 11:41 AM

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Obamacare’s DEATH SPIRAL Is Here

Let the excuses begin!

Comment: Obamacare drives up costs. That forces insurers to hike premiums, which makes healthy smart people drop out, which raises costs even more.  Lather, rinse, repeat.

“Aetna the nation’s fourth-largest health insurer, just decided to stop offering plans on Obamacare‘s exchanges in all but four states in 2017. The firm says that it was losing roughly $300 million per year on these policies. And it projected that its losses would only increase, since the share of covered individuals “in need of high-cost care” was growing, according to CEO Mark Bertolini.”

“Aetna isn’t the only insurer giving up on Obamacare. UnitedHealth, America’s biggest insurer, will sell plans in just three states next year, down from 34 this year. Humana will offer coverage in just 156 counties in 2017, 88 percent fewer than this year.”

“In other words, the insurance “death spiral” has arrived. Obamacare’s critics have long predicted that exchange plans’ high premiums and deductibles would keep all but the sickest Americans from enrolling. These people would need so much medical care that insurers would lose money no matter how much they raised premiums. Eventually, insurers would have no choice but to pull out.”

“President Obama and Democratic presidential nominee Hillary Clinton have proposed a novel solution to this government-created problem — more government.”

Aetna’s Obamacare pullout means the ‘insurance death spiral’ has arrived
Sally C. Pipes, CEO, Pacific Research Institute

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UPDATE – Out of the Obamacare Frying Pan into the Single-Payer Fire

It was a peak week for concern about Obamacare. On Tuesday, the big insurance company Aetna announced it will leave the Obamacare exchanges in 11 states.  That’s 500 counties across the country that are losing another carrier.  Only one or two insurers are left in Arizona, North and South Carolina, and parts of Florida.  There were reports of a county in Arizona that may have NO Obamacare insurer next year.

 Aetna’s departure put Obamacare on the front page once again.  There were stories EVERYWHERE about how this may be the beginning of the end for the Affordable Care Act.  Many of the stories put it in terms of Obamacare being “unstable”.  That’s no surprise to Tea Partiers.  We knew from the beginning that any law forcing insurers to ignore correct underwriting principles and deliberately misprice their policies flies in the face of economic reality and cannot go on in its present form indefinitely.  How can anything that starts with such economic lunacy ever be stable?  What we have here is the stupidity of the American mastermind on full display.

I can’t predict there will be an insurance death spiral, but you know it’s bad when LIBERAL publications like the Los Angeles Times and the Washington Post worry that Obamacare is unstable and ask out loud, “Can Obamacare be saved?”

 The word “unstable” gives us a rhetorical opportunity.  Just keep saying “Obamacare is unstable” every chance you get.  That should wake some people up, and it has the added virtue of being true.  Put the law’s supporters on the defensive.  Make them explain how this law is going to work when we’re getting down to one or two insurers in so many parts of the country.  You might add, “Obamacare is growing even more unstable over time, not less, as we were promised.”

 Meanwhile, the administration promised it would try to boost the number of purchasers in the next enrollment period which is coming up soon.  But the plans they’ve announced so far are a big yawn – another advertising campaign and targeting young people.  That’ll really get’em.  Make Pajama Boy Great Again!

 But we can’t spend our time gloating over Obamacare’s troubles and saying ‘see, I told you so.’  It didn’t take long after Aetna’s announcement for the single-payer crowd to start up in full cry again: ‘See, it’s those greedy insurance companies.  They’re the problem.  They’re avoiding the sick.  If it weren’t for their bad behavior, we would have had $2,500 off our insurance and been able to keep our plans, just like President Obama promised us.  So we tried the free market and it didn’t work.  The government has to put every private insurance company out of business and take over healthcare completely for these problems to be solved, once and for all.’  All of this is preposterous, of course, but even Bernie Sanders is back, promising to introduce a single-payer bill in the next Congress.

 So keep your eye on the ball.  Single-payer IS the next debate.  The Truth Squad is arming you up.  We put out the bad news about single-payer most Mondays at 10 a.m. Eastern Time, and there’s a lot of it that the supporters of single-payer want you to ignore.  So join us on Twitter and please ask your members to follow us there.  I’ll put the link in Chatzy and send it in for the wrap-up.


Obamacare Truth Squad – ‘All the Bad News About Obmacare, Every Day’

“Aetna to pull out of most Obamacare exchanges”; saying good-bye to 500 counties

Arizona, North and South Carolina, Georgia and parts of Florida hurt the most; only one or two insurers left

The flood of bad news can no longer be denied. E.g.:

“The exchanges do not seem to be stabilizing; instead, they seem to be growing more unstable over time”

ACA inherently unstable because forces sale of mispriced insurance. #UnicornsAndRainbows

You know it’s bad when staunch liberal publications worry aloud Obamacare is unstable.

You know it’s bad when staunch liberal publications are asking, “Can Obamacare be Saved?”

O-admin flailing about looking for ways to boost enrollment. (Deja vu all over again. Give it up, it’s hopeless.)

Dems won’t bail out insurers; angling for public option / single payer.

“Bernie Sanders: My single-payer plan will solve Obamacare’s problems”

“The case for a single-payer health plan: Aetna shows how insurers are avoiding the sick”


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Top Tweets – Aetna Gets Out of Dodge

“Aetna to pull out of most Obamacare exchanges”; saying good-bye to 500 counties

#PremiumPain #47 – “Blue Cross asking for 60 percent rate hike for Obamacare plans in Texas in 2017”

Costs of Medicaid expansion $21 billion a year higher than the genius mastermind swindlers promised us

#KasichKalamity – Ohio Medicaid expansion has already cost $8.4B, cost overrun of $3.5B in 2+ yrs

Kasich worked with far-left groups to push Medicaid expansion on Ohio

Blue Shield of California to furlough employees to stem the bleeding from Obamacare.

Massive insurer bailouts on agenda for next President, but stoking furnace with more cash won’t solve anything

“Insurer participation in Obamacare will continue its steep decline next year” – getting down to 1-2 per state

O-admin flailing about looking for ways to boost enrollment. (Deja vu all over again. Give it up, it’s hopeless.)

You know it’s bad when staunch liberal publications are asking, “Can Obamacare be Saved?”


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It’s a Bird, It’s a Plane, No, Wait–Those Are Your Obamacare PREMIUMS!

Comment: In their desperation to salvage Obamacare, its supporters have taken to claiming that premiums have actually DROPPED under the ACA. The claim is laughable given the scores of double-digit rate increases occurring across the country. Moreover, policy analysts have ripped the claim apart. Here is the first article to do so:

“Two scholars at the renowned Brookings Institution, Loren Adler and Paul Ginsburg, have published an analysis finding that “average premiums in the individual market actually dropped significantly upon implementation of the ACA [Affordable Care Act].” This contrasts with a plethora of evidence, including a rigorous 2014 Brookings study, showing that the ACA significantly increased premiums. In this post, I discuss methodological concerns with the Adler and Ginsburg approach as well as evidence that leads most scholars to reach a very different conclusion.”

[...] First, unlike Adler and Ginsburg’s approach, Brookings 2014 study used actual data and found that “enrollment-weighted premiums in the individual health insurance market increased by 24.4 percent beyond what they would have had they simply followed…trends.”

Overwhelming Evidence That Obamacare Caused Premiums To Increase Substantially
Brian Blase, Contributor, Jul 28, 2016

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Another Obamacare LIE Explodes–Study: Small Employers ARE Dropping Health Benefits

Comment: To paraphrase an old wit, there are three kinds of lies: lies, damned lies, and Obamacare lies.  Almost nothing we were sold about the unAffordable Act was true.

“Small businesses have been pumping the brakes on offering health benefits to their employees since 2009, according to new data from the Employee Benefit Research Institute.”


The proportion of employers offering health benefits fell between 2008 and 2015 for all three categories of small employer, EBRI found: by 36 percent for those with fewer than 10 employees, by 26 percent for those with 10 to 24 workers and by 10 percent for those with 25 to 99 workers. ”

Small Employers Pulling Back on Health Benefits Since ACA
By Kristen Ricaurte Knebel, July 29, 2016

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DEATH SPIRAL! — Another Insurance Giant Quits Obamacare’s Faltering “Exchanges”

 Comment: Told ya.

“Aetna Inc. [...] announced it will withdraw expansion plans for Affordable Care Act exchanges in response to steep financial losses and is considering future participation in its current 15-state footprint.

The Administration’s response?  “Quick, have someone from the Ministry of Truth get George Orwell on the phone…”

“The U.S. Department of Health and Human Services said the health insurance marketplace will continue to thrive “as a place where insurers compete for business and consumers have access to a range of affordable coverage options.” ”

Baghdad Bob couldn’t have said it better.

Aetna To Halt Obamacare Expansion Plans
By Stephen Singer, August 2, 2016

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The unAffordable Act Burns Entrepreneurs

Promised: “We see it as an entrepreneurial bill,” Pelosi said in May 2010.  “A bill that says to someone, if you want to be creative and be a musician or whatever, you can leave your work, focus on your talent, your skill, your passion, your aspirations because you will have health care.” –Speaker of the House Nancy Pelosi

“Between the Federal ACA and Cuomo’s heavy handed response in New York, the ACA actively impedes entrepreneurs. Health care coverage has become the number one concern of would-be freelancers and sole proprietors I speak with [...]”

“As a lifelong Democrat, I was first deceived by our president’s “you can keep your doctor” promise and am now more discouraged than ever by the New York State of Health Marketplace. My options for regaining the comprehensive benefits I had prior to ACA are:

“a) Hire a 20 hour per week employee (who I don’t need) in order to qualify as a “small business.”

“b) Close my business and find a large employer that still offers comprehensive health plans (like the ones our elected officials are still enjoying).”

“c) Marry someone with better benefits.”

“Is this what ACA and Cuomo had in mind to encourage entrepreneurs in New York?”

By Deb Stevens,  August 2, 2016 12:01 a.m.
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